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Home My WebLink AboutSPENARD HEIGHTS ADDITION LT 22 Onsite File Spenard • Heights Addition Lot 22 #012 - 052 - 16 DOC CO dba OF BILL 8c COLE LLIVAN WATER WELLS P.O. Box 670269, Chugiak, AK 99567 888-2759 OWNER OF LAND: Grace Ann Pierce ADDRESS: LEGAL DESCRIPTION Spenard Heights Addition Lot 22 DATE: 9-12-18 PERMIT NUMBER: OSP181184 DATE OF ISSUE: 7-12-18 TAX IDENTIFICATION NUMBER 01205216000 Is well located at approved permit location: ❑Yes ❑No Method of Drilling: Mair rotary cable tool Depth of Well: 342' Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 342 feet Liner type Static Water Level: 83 feet Recovery Rate 80 ❑ gpm gph Method of Testing Air Well Intake Opening Type: ® open end Flopen hole ❑ Screened Start feet Stopped ❑ Perforations Start feet Stopped Grout Type: Bentonite Volume: 50 lbs Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: ❑yes 1-1 no Method of Disinfection: Chlorine 50 PPM Comments: Bore Hole Data Depth From To 0 2 Casing Stickup 2 4 Overburden 4 7 Silty Sand & Gravel 7 14 Silt & Sand w/ Gravel 14 28 Silt & Sand 28 81 Sand 81 118 Silt & Sand 118 126 Sand & Gravel Water Heavy Silt 126 149 Silt & Sand 149 168 Heaving Sand & Gravel 168 207 Silt & Sand 207 265 Clay 265 329 Clay & Gravel 329 342 Sand & Gravel Drillers Name: Cole Sullivan ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. Matsu Borough: Department of Environmental Conservation. Development Services Department t Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: Parcel Identification Number: - - Date of Issue: - - Legal Description Block Lot Property Owner Name &&Address: T Pump Installation Date: ZL ,,/ -,?C3/51, Pump Intake Depth Below Top of Well Casing: 300 feet Pump Manufacturer's Name: /G`��n�S Pump Model: Pump Size: %• hp Pitless Adapter Burial Depth&/D JC :� feet Pitless Adapter Manufacturer's Name: CJ Pitless Adapter Installer: Cl�� Well Disinfected Upon Completion? X Yes ❑ No Method of Disinfection: Comments: Pump Installer Name:�Ja� �, ,� /V P /�'� ✓7'G� Company: 9b% �✓�'Te� ��%�� Sfi/rCC� Mailing Address: ��-'� %�' ✓U�� C /� City:V7�J State: Zip: Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. �•,1N,"P""TrO MUNICIPALITY OF ANCHORAGE , cni � ' On-Site Water&Wastewater Program . \ '. /i• r 4 PO Box 196650 4700 Elmore Road y ' f; `3• Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 r. -.�� "` httpa/www.muni.org/onsite 4kCH ON rVE On-Site Water System Permit Permit Number: OSP181184 Effective Date: 7/12/2018 Work Type: Well Initial Expiration Date: 7/12/2019 Tax Code Number: 01205216000 Site Legal Address: SPENARD HEIGHTS ADDITION LT 22 G:2026 Site Mailing Address: 6309 HIGH PL, Anchorage Owner: PIERCE GRACE ANN Lot Size in Sq Ft: 22275 Design Engineer: Total Bedrooms: 3 This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72)and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: To close out this permit, please submit the following: 1)Well log 2) Pump install log 3)Water sample results for total coliform, nitrates and arsenic. 11'Receiv:. = � �� Date: / /� ..Issued B tIJCCCA f Date: 7 ill ls • MUNICIPALITY OF ANCHORAGE ( st t't': 1 Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section �- Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 012. - 05 2-- ) 6 Property owner(s) c1\A(.,P AV1.1(\ P\OV.C`Q Day phone ,943 (9959- Mailing address (0_240) \A\1\ Q V Ah-A\c- -) )). Site address .�Ai'N1, Legal description (Sub'd., Block & Lot) c-)Ven(Aia ttT A L4) 122 Legal description (Township, Range & Section) 42ta -h6,. Lot Size Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) el Absorption Field ❑ Initial Single Family (SF) K Septic Tank CIUpgrade (w/wo ADU) ❑ Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well a, Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. L_ '—'77,7/17611 .1._ /(4C,e (SIgnature of property o er or authorized agent) 9 ) Permit/Rush Fees: 0-15 Waiver Fees: Date of Payment: - --7, -. 1. (1 "'ie Date of Payment: Receipt Number: y�/I Ci Receipt Number: Permit No. 66er I 1811 Waiver No. G:1Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc V. Ln M H da A, 4 • ..4111!: LOT 1 9A \, 1o0'SEWER -100'SEWER SETBACK SETBACK LOT 21 75'SEWER MAIN f SETBACK _ N89° 58' 13"E 202.43 LOT 19B (3, 25 SEWER---,_,..... '/' //////1//, /////////:///////////://// SETBACK / / ///, / / / , / / / / // / / / / //, / 100'SEWER�_ / //'/' //// /'t / LOT 22 ;/�,/;'' co oSETBACK SCO .',/' ////'/'////','////'/'//, _O / ///, / ,///// ///, /////7/ / //// > /' ' „,/,/ ' „// ,' / ,' , / ,' / / LtJ w N r A A EXISTING �' ////,/, /',',/, ',',//,',',,,,' - LOT 20 / 0 o �l' HOUSE r/ //,/////'/1// //////z%/////a o // 1 t/ / / / / / / / /.. , I ////ci/,////////,//://:„/ /,2 //.. /, // ///////////// 1 . �/'/.//,////, ,///'///' '///', / //' ///// 1 N89° 58' 56"W 202.35 / PROPOSED WELL / SITE LOCATION 100'PROPOSED r 75'SEWER MAIN = WELL BUFFER `/ SETBACK ` LOT 23 \ = i / LEGEND: / ® -PROPOSED WELL 7 0-SEWER MANHOLE \ / �/ -POSSIBLE WELL LOCATION ----PROPOSED WELL BUFFER GAS AND OTHER UTILITY LOCATIONS ARE APPROXIMATE. ----LOT EASEMENT LINE CALL 811 FOR LOCATES PRIOR TO DRILLING. SEWER LINE SETBACK wo.wnbabrc ,1 I SEPERATION DISTANCES AND SETBACKS PER -SEWER LINE �°11j0f� AMC 15.55.060 TO BE VERIFIED BY DRILLER -UNDERGROUND GAS LINE LCG SPENARD HEIGHTS SUBDIVISION DRAWN BY: SC CHECKED BY: SC grCEO:11 Inc LOT 22 DATE: 04/05/2016 a9c%iftcbuat•ayu,unG.y..eunweyi.iy. JOB NO: 15064 250HStreet WELL SITE PLAN SHEET NO: Anchorage..41�93:�1!I SCALE: PL PA �.�` olyzai&coo r-, Oil 61Q-0.g...1,1 (D O"° k Mw k M • r C rl 0, # el � i } { + 1> c on 0 co r r z 4) z 0 1 0 m 7 ;I., c .0 a+i lc�I. "i_4 mi � y F� R� * � � i � •Azo � y3 �'� r r �F t� 7 z 0 lb err` �+'''i► Mair '� }� { ti} t ■r. JN 41 t } '' F f /fir # •` . tii . r ./# jfL % `i' fft't t+ I f i a MU y W� t • ■ i # m }� r V D' Y r�•! 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